LORETTA LEE SEVERSON (PSY.D.) – Clinical Psychologist, NPI 1013157650

LORETTA LEE SEVERSON (PSY.D.) is a healthcare provider. based in Medway, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PS1263 (ME). The NPI Number for LORETTA LEE SEVERSON (PSY.D.) is 1013157650

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
LORETTA LEE SEVERSON (PSY.D.)
NPI
1013157650
Phone
(207) 290-1924
Address
PO BOX 92
Enumeration Date
23 February 2009
Last Update Date
5 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
5597892075
Group Practice PAC ID
8325946213
Professional Enrollment ID
I20100415000472
Address ID
ME040721536SA50XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

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Provider Addresses for LORETTA LEE SEVERSON (PSY.D.)

  • PO BOX 92

    MEDWAY, ME 044600092

    Phone: (207) 290-1924

    Type: Mailing

  • 51, Main Street, Lincoln, Penobscot County, Maine, 04457, United States

    LINCOLN, ME 044571439

    Phone: (207) 290-1924

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100415000472IClinical PsychologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04460)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325946213View full group profile

Reviews

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Frequently asked questions

Can I verify LORETTA LEE SEVERSON (PSY.D.) with an NPI only?
You can start verification with NPI 1013157650 for LORETTA LEE SEVERSON (PSY.D.), then check state licensing separately.
Can I rely on LORETTA LEE SEVERSON (PSY.D.) being an active provider?
As of the registry snapshot, LORETTA LEE SEVERSON (PSY.D.) is marked active.
What is LORETTA LEE SEVERSON (PSY.D.) best known for clinically?
Directory data describes LORETTA LEE SEVERSON (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect LORETTA LEE SEVERSON (PSY.D.) on a map?
Expect Medway, Maine as a primary anchor for LORETTA LEE SEVERSON (PSY.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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